Claim total
$1,177.77
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2013-08-12
- Stop
- 2013-08-12
The parties
- Provider
- provider Robin Stokes
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
- Payer
- payer Aetna
Record id
1c99fa74-ef91-13c8-bb12-25df04eedd53